scholarly journals Health value added of healthcare entities

Econometrics ◽  
2020 ◽  
Vol 24 (3) ◽  
pp. 51-58
Author(s):  
Wiktor Ejsmont ◽  
Janusz Łyko
Keyword(s):  
Survival Analysis ◽  
Random Effects ◽  
Value Added ◽  
Health Condition ◽  
Quality Of Services ◽  
Healthcare Organizations ◽  
Health Value ◽  
Before And After

The paper deals with an evaluation of the quality of services provided by healthcare organizations. First, an index representing a patient’s health condition is described, then its changes before and after being treated by a given entity are employed as a criterion to assess the operations of this entity. The index of a patient’s health condition is based on the theory of survival analysis, while a model of random effects is used to determine the quality of services based on health value added

Allocation and Use of Financial Resources in Health Care in Kyrgyzstan

2017 ◽  
Author(s):  
Damira Japarova
Keyword(s):  
Current Method ◽  
Poor Quality ◽  
Financial Resources ◽  
Quality Of Services ◽  
Healthcare Organizations ◽  
State Hospitals ◽  
Hospitalization Rates ◽  
Single Payer ◽  
Distribution Of Resources

TThe distribution of the limited financial resources in the state hospitals in Kyrgyzstan is uneven. The problems associated with the current method of distribution of resources: the poor quality of services at the level of polyclinics and high hospitalization rates that require an evaluation of the budget allocation of healthcare organizations operating in the Single Payer system. In order to improve the efficiency of resource use it is suggested to review the principles of allocation of resources to the primary level of patient care.

scholarly journals The Impact of Revascularisation on Quality of Life in Chronic Mesenteric Ischemia

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
J. T. M. Blauw ◽  
H. A. M. Pastoors ◽  
M. Brusse-Keizer ◽  
R. J. Beuk ◽  
J. J. Kolkman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mesenteric Ischemia ◽  
Health Condition ◽  
Index Score ◽  
Mesenteric Arteries ◽  
Chronic Mesenteric Ischemia ◽  
Abdominal Symptoms ◽  
Before And After ◽  
The Impact

Background. Chronic mesenteric ischemia (CMI) is characterized by long-standing abdominal symptoms due to insufficient mesenteric circulation. Data on the effect of revascularisation on quality of life (QoL) for CMI are scarce. This study is the first to evaluate the impact of revascularisation on quality of life. Methods. Seventy-nine patients with CMI or acute-on-chronic mesenteric ischemia (AoCMI) underwent an intervention of one or more mesenteric arteries between January 2010 and July 2012. QoL before and after intervention was measured with the EuroQol-5D. Preintervention questionnaires were of standard care. Postintervention data were obtained by resending a questionnaire to the patients between February and May 2013. To investigate the clinical relevance of our findings, the minimal clinically important difference (MCID) was used. Since there is no established MCID for CMI, we used the literature reference MCID of inflammatory bowel syndrome (IBS) of 0.074. Results. Fifty-five (69.6%) of 79 patients returned their questionnaire and 23 (29.1%) were completely filled out. There was a significant increase of the median EQ-index score from 0.70 to 0.81 (p=0.02) and a significant reduction of symptoms in the domains usual activities (34.4%) and pain/discomfort (32.3%). There was a significant improvement of 17% in overall current health condition (VAS) (p=0.001). The MCID between baseline and postoperative EQ-5D index score was 0.162, indicating a clinically relevant improvement of quality of life after revascularisation. Conclusion. Quality of life of CMI patients is improved after mesenteric artery revascularisation.

scholarly journals Improving A Quality Of Services Through Information System Model Of Academic Services Based On Customer Relationship Management At University

2019 ◽  
Vol 8 (6) ◽  
pp. 2500-2505
Keyword(s):  
Information System ◽  
Customer Relationship Management ◽  
Group Discussion ◽  
Relationship Management ◽  
Customer Relationship ◽  
System Model ◽  
Quality Of Services ◽  
Before And After ◽  
Addie Model

This research aims at seeing the improvement a quality of services through information system model of academic service based on customer relationship management (CRM) at university. This research is a part of developing research through a research and development ADDIE model that consists of Analyze, doing needs analysis and literature review. Design, determining the purposes of model design and describing each components of model. Develop, developing products and focusing on group discussion and experts’ reviews. Implement practicality test and effectively test. And Evaluate. This research only focuses on implementing, along with applying an information system model of academic service based on CRM at university. Subject of this research is Universitas Dharmas Indonesia, Sumatera Barat. Hypothesis testing done on this research is through Wilcoxon testing, because the data got is not normal distributed. Based on analysis result, it can be known that sig = 0,000 < 0,05. It can be said that Ha is rejected. Therefore, a quality of services towards students before and after applying the information system model of academic service based on CRM at university a significant improvement. Even this model is only implemented at one university, yet based on analysis result, this model can be implemented to other universities because it is flexible and dynamic, and thus it can matched to the university needs.

scholarly journals Sclerotherapy on Demand with Polidocanol to Treat HHT Nosebleeds

2021 ◽  
Vol 10 (17) ◽  
pp. 3845
Author(s):  
Sol Marcos ◽  
Luisa María Botella ◽  
Virginia Albiñana ◽  
Agustina Arbia ◽  
Anna María de Rosales
Keyword(s):  
Quality Of Life ◽  
Analogue Scale ◽  
Health Condition ◽  
Mean Value ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Significant Drop ◽  
On Demand ◽  
Before And After ◽  
Euroqol 5D

Epistaxis is the most prevalent clinical symptom in Hereditary Haemorrhagic Telangiectasia (HHT), causing anaemia and decreasing the quality of life (QOL). Since 2013, in Hospital Universitario Fundación Alcorcón, more than 150 HHT patients have been treated by nose sclerotherapy on demand. This study shows the results of 105 patients treated with sclerotherapy between 2017 and 2019. HHT-ESS (epistaxis severity score) was used to measure the severity and frequency of epistaxis. QOL was determined before and after treatment by EuroQol-5D (EQ-5D) and the visual analogue scale (VAS) on the health condition. According to HHT-ESS before treatment, 22 patients presented mild, 35 moderate, and 47 severe epistaxes. Sclerotherapy significantly decreased the frequency and severity of epistaxis, with a significant drop of HHT-ESS in 4.6 points, from 6.23 ± 2.3 to 1.64 ± 1.6. Furthermore, the QOL significantly improved, the EQ-5D scale raised from 0.7 ± 0.26 pre- to 0.92 ± 0.16 post-treatment (p < 0.05). Additionally, VAS mean value showed a significant increase from 4.38 ± 2.4 to 8.35 ± 1.2. The QOL improvement was correlated with the ESS decrease. In conclusion, this study shows that on-demand sclerotherapy at the office significantly reduces HHT epistaxis as well as improved the patients’ QOL.

scholarly journals Analysis Study of The Comparative Quality of Patient Services Before and After Covid-19 Pandemic in Installation of Siloam Hospital TB Simatupang Installation

2020 ◽  
Author(s):  
Dian Agnesa Sembiring ◽  
◽  
Atik Nurwahyuni ◽  
Wahyu Sulistiadi ◽  
◽  
...  
Keyword(s):  
Service Quality ◽  
Test Reliability ◽  
Quality Of Services ◽  
Test Results ◽  
Five Dimensions ◽  
Before And After ◽  
Patient Service ◽  
Better Than ◽  
Urgent Action

ABSTRACT Background: In the COVID-19 (Coronavirus Disease 2019) pandemic crisis that has hit Indonesia since early March 2020, urgent action is needed to overcome the situation while maintaining and improving relationships with customers so that they are still satisfied with the quality of services in hospitals, especially inpatient services. Since the COVID-19 pandemic, there has been a significant decrease in the number of inpatient visits at Siloam Hospitals TB Simatupang. This study aimed to analyze the comparison of the level of quality of patient service before and after the COVID-19 pandemic in installation of Siloam hospital TB Simatupang installation. Subjects and Method: This was a descriptive observational study conducted at Siloam Hospitals TB Simatupang from September 2020. A sample of 88 patients was selected by purposive sampling. The data was collected by questionnaire. The operationalization of this research variable is service quality, which is measured from five dimensions, namely Tangibles, Reliability, Responsiveness, Assurance, and Empathy. The data analysis used a series of tests such as validity test, reliability test, descriptive statistics and independent sample T-test. Results: During the COVID-19 pandemic, patients had a better perception than before the COVID-19 pandemic, it can be seen from service quality (Mean= 4.11), while during the COVID-19 pandemic (Mean= 4.250). Conclusion: Quality of services provided in outpatient installations during the COVID-19 pandemic is better than before the COVID-19. Keywords: service quality, COVID-19, outpatient Correspondence: Dian Agnesa Sembiring. Magister Program in Hospital Administration. Faculty of Public Health, University of Indonesia, Depok, West Java. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.04.23

scholarly journals Effectiveness of dysphagia exercises on swallowing ability among patients with Cerebrovascular Accidents

2020 ◽  
Vol 11 (2) ◽  
pp. 1515-1518
Author(s):  
Bhuvaneshwari G ◽  
Somiya C
Keyword(s):  
Standard Deviation ◽  
Cerebrovascular Accident ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Mortality And Morbidity ◽  
Cerebrovascular Accidents ◽  
Before And After ◽  
Post Test ◽  
Loss Of Motion

Cerebrovascular  accident  (CVA)  is one of the foremost reasons leading to mortality and morbidity throughout the world. It is the third biggest killer in India after a heart attack and cancer.  It is like a chronic health condition which negatively impacts on quality of life. Dysphagia is one of the most successive side effects in patients with a stroke which is a loss of motion of throat muscles. This condition can disturb the gulping procedure and make eating, drinking, taking prescription and breathing trouble. Dysphagiaexercises are designed toenhancing muscles and coordinatingthe nervesandmuscles involved in swallowing.The pre-experimental design was used with 60 samples who matched the inclusion criteria who were selected by purposive sampling technique.The study aims is to assess the swallowing ability before and after dysphagia exercisesamong patients with cerebrovascular accidents. Demographical variables were collected by using self- structured questionnaires and Modified Mann Assessment of Swallowing Ability Scale.The study uncovered that the pre-test mean swallowing ability score was 42.45 with a standard deviation of 8.63 among the cerebrovascular accident patients. The post-test swallowing ability mean score of 50.54% with a standard deviation of 8.23 among the cerebrovascular accident patients. The study findings concluded thatDysphagia practices which was an effective, inexpensive, simple measure for improving swallowing ability among patients with cerebrovascular accident.

scholarly journals Evaluation of Service Quality From the Patients’ Viewpoint in the Oncology Setting of a University Hospital in Iran

2020 ◽  
Vol 13 (7) ◽  
Author(s):  
MohamadMehdi Derisi ◽  
Maryam Mohseny ◽  
Hamidreza Mirzaei ◽  
Amir Zamani ◽  
Alireza Mosavi Jarrahi
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Patient Expectations ◽  
T Test ◽  
Influential Factor ◽  
University Hospital ◽  
Quality Of Services ◽  
Healthcare Organizations ◽  
Cross Sectional

Background: Hospitals are one of the most important units in providing healthcare services. The assessment of the quality of provided services is essential in these settings. Patient satisfaction is one of the key indicators of service quality in healthcare organizations. Objectives: This study aimed at investigating the gap between the perceptions and expectations of service recipients in Shohada-e-Tajrish Hospital (Tehran, Iran), using the SERVQUAL model in 2020. Methods: This cross-sectional study was conducted on patients with cancer, who were upon discharge from Shohada-e-Tajrish Hospital. Patients (> 18 years) with a cancer diagnosis, who were being discharged from the oncology ward of the hospital, were included in this study. The sample size was estimated at 118. The required information was collected, using the modified SERVQUAL questionnaire. Statistical analyses were performed in SPSS version 20, using a paired t test and one-sample t-test. Results: The results showed that the quality of the provided services from the patients’ perspective was significantly lower than their expectations. The mean gap between the expectations and perceptions of patients was significantly above zero (P < 0.001). The most influential factor in improving patient satisfaction with the quality of services was assurance, followed by reliability, while the least effective factor was empathy. The correlation coefficient between the general status of provided services from the patients’ point of view and loyalty was 0.740 (P < 0.001). Conclusions: The findings of the present study indicated that patient expectations were higher than their satisfaction. Therefore, hospital authorities should take major steps to improve the quality of services, especially reliability and responsiveness, through proper planning, prioritization of services, and review of processes contributing to patient expectations. The existing gaps can also be addressed by considering the perspectives of patients as the clients of healthcare organizations.

scholarly journals Study of inert cellulose powder effect on the nasal mucosa

2011 ◽  
Vol 8 (6) ◽  
pp. 53-57
Author(s):  
I B Angotoeva ◽  
E V Sukhovetchenko ◽  
I B Angotoeva ◽  
E V Suhovetchenko
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Nasal Cavity ◽  
Health Condition ◽  
Cellulose Powder ◽  
Before And After ◽  
Safe Product ◽  
Quality Of Life Index ◽  
Inflammation Signs

Background. To investigate the efficiency, safety of inert cellulose powder in allergic rhinitis, and influence on mucous tunic of nasal cavity. Materials and methods. Two groups of patients were examined in this research (30 healthy volunteers and 30 patients suffering from allergic rhinitis). The following factors of patients' life and health condition were evaluated during the investigation: quality of life, the condition of mucous tunic, mucociliary clearance rate, the ciliabeat frequency of ciliated cylindrical epithelium, the signs of inflammation in the smears of mucous tunic before and after the treatment with Nazaval and Nazaval Plus. The results. Nazaval and Nazaval Plus improved the quality of life index and reduced the inflammation signs of mucous tunic of nasal cavity examined by rhinoscopy and endoscopy. No ciliotoxic effects of preparations on mucous tunic were established. Conclusion. The inert cellulose powder is a highly effective and safe product for the treatment of allergic rhinitis.

scholarly journals Quality of Life among Patients with Chronic Venous Disease (CVD) as Measured by the VEINES-QOL/SYM and the EuroQol-5D-5L Questionnaires, A Descriptive-Comparative Design Study

2021 ◽  
pp. 56-71
Author(s):  
Cabahug, Reagan F. ◽  
Montalan, Gina L. ◽  
Yape, Irma Marie P. ◽  
Laurenciana, Maria Cristina M.
Keyword(s):  
Quality Of Life ◽  
Similar Efficacy ◽  
Health Condition ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Quality Life ◽  
Before And After ◽  
Euroqol 5D ◽  
Sensitivity Specificity

Objective: To determine the efficacy (sensitivity, specificity, and accuracy) of the VeinesQol/Sym with metric statements fewer than the EQ5D in detecting the quality of life of patients with Chronic Venous Disease (CVD) before and after treatment. Methods: This is a descriptive-comparative design in collecting the necessary data to arrive at conclusions that respond to the specific questions of the study in 2 private hospitals. The responses gathered from patients through EQ5D and VeinesQol/Sym, before and after they received treatment were utilized in describing and comparing the efficacy of the health questionnaires.  Data were further subjected to a comparative analysis to elaborate the efficacy of the VeinesQol/Sym.  Results: A total of 114 CVD patients completed the study after the exclusion of 13 patients due to failure to follow up after eight weeks of treatment. The study showed that VeinesQol/Sym and EQ5D has similar efficacy in determining quality of life of CVD patients. However, VeinesQol/Sym  has higher accuracy (84.96% vs 76.99%), higher sensitivity (87.85% vs 83.87%), detects greater level of impairment in mobility, anxiety/depression, pain and discomfort, disruptions in usual activity and lower quality of current state of health condition than EQ5D Conclusion: With the responses to the metric statements of the indicators of quality life in both VeinesQol/Sym and EQ5D, VeinesQol/Sym was found to have a greater efficacy in establishing the accurate status of quality of life of patients with CVD than the EQ5D.

scholarly journals Digitalisation and firms’ competitiveness in deposit money banks

2021 ◽  
Vol 11 (2) ◽  
pp. 19-28
Author(s):  
Powel Maxwell Worimegbe ◽  
Ikechukwu Federick Muo
Keyword(s):  
Structural Equation ◽  
Dynamic Capabilities ◽  
Survey Design ◽  
Value Added ◽  
Primary Source ◽  
Equation Model ◽  
Quality Of Services ◽  
Significant Variable ◽  
Descriptive Survey

The study examined the effect of digital banking on competitiveness in deposit money banks in Nigeria. The study revealed that there are types of measures of digital banking. These measures are the internal and external digital banking. The measures of competitiveness used in the study are value-added services, quality of service and innovation. The descriptive survey design was employed. The primary source of data was used, and a 7-point Likert scale questionnaire was administered to 312 respondents. Data were analysed using the structural equation model. The results reveal that digital banking affects competitiveness in Nigerian deposit banks. The result further reveals that internal digital banking is the most significant variable in digital banking, while innovation is the most significant variable in measuring competitiveness. The study recommends that deposit money banks invest more in digital banking, especially their internal process, because this will give them a competitive advantage by adding value to customers, increasing quality of services and making them more innovative.   Keywords: Digitalisation, competitiveness, dynamic capabilities, value added, innovation.

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